BMI诊断某社区汉族老年人肌肉衰减综合征的价值

发布时间：2018-09-11 07:33

【摘要】：目的:评价体重指数(BMI)作为筛检老年人肌肉衰减综合征指标的应用价值。方法:参照肌肉衰减综合征亚洲工作组制定的诊断标准对郑州市上街区1 287例60岁以上汉族老年人进行肌肉衰减综合征的临床诊断,并依此分为患病组和未患病组。使用受试者工作特征(ROC)曲线对BMI诊断郑州市上街区汉族老年人肌肉衰减综合征的价值进行评价。结果:未患病组老年男、女的BMI值分别为(25.94±3.10)和(26.44±3.43)kg/m2,患病组老年男、女的BMI值分别为(22.06±2.56)和(22.74±2.77)kg/m2。患病组老年人的BMI明显低于未患病组(P0.001)。BMI用于诊断老年男、女肌肉衰减综合征的ROC曲线下面积(AUC)分别为0.834(0.769~0.899)和0.804(0.757~0.850),此时的灵敏度和特异度分别为73.2%、82.2%和78.2%、73.1%,对应的切点值则分别为23.0、24.3 kg/m2。结论:BMI测量简单易行,可以用于汉族老年人肌肉衰减综合征的快速筛检。
[Abstract]:Objective: to evaluate the value of body mass index (BMI) as an index of muscle attenuation syndrome in the elderly. Methods: according to the diagnostic criteria of Asian working group on muscle attenuation syndrome, 1 287 cases of Han nationality aged over 60 years old in Shangjie of Zhengzhou were diagnosed with muscle attenuation syndrome, and they were divided into two groups: the sick group and the non-sick group. The value of BMI in the diagnosis of muscle attenuation syndrome in the elderly of Han nationality in Shangjie district of Zhengzhou was evaluated by using the (ROC) curve of the subjects' operating characteristics. Results: the BMI values of aged males and females were (25.94 卤3.10) and (26.44 卤3.43) kg/m2, respectively, and the BMI values of female were (22.06 卤2.56) and (22.74 卤2.77) kg/m2., respectively. The BMI of the elderly in the sick group was significantly lower than that in the non-diseased group (P0.001). The area under the ROC curve of the female muscle attenuation syndrome was 0.834 (0.769 卤0.899) and 0.804 (0.757 卤0.850), respectively. The sensitivity and specificity were 73.22.2% and 78.23.1respectively, and the corresponding cutoff points were 23.00.24.3 kg/m2.. Conclusion the measurement of weight BMI is simple and feasible, and can be used for rapid screening of muscular attenuation syndrome in the elderly of Han nationality.
【作者单位】：郑州大学公共卫生学院营养与食品卫生学教研室;郑州市济源路社区卫生服务中心;
【基金】：达能营养中心膳食营养研究与宣教基金资助项目DIC2015-02 汤臣倍健营养科学研究基金资助项目2016年
【分类号】：R685

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